MEDICARE: DAWN M HALL MA, LPC, LCMHCS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	37PC00386100	NJ
2	101YM0800X	Mental Health Counselor	S13377	NC

General Provider Information

NPI Number	:	1053631531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN M HALL MA, LPC, LCMHCS

Provider Business Mailing Address
First Line	:	7880 ELK CREEK PKWY
Second Line	:
City	:	INDEPENDENCE
State	:	VA
Zip	:	24348-4680
Country	:	US
Telephone Number	:	732-763-2552
Fax Number	:

Provider Business Practice Location Address
First Line	:	4909 WATERS EDGE DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27606-2462
Country	:	US
Telephone Number	:	919-589-2196
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2010
Last Update Date	:	02/09/2026

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